Reintegration of Ex-Offenders, Adult Reporting System

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form ETA 9140 Quarterly Report Form	Form	Modified	Available
1205-0455 RExO-Adult ICR Supporting Statement_8-24-15.docx	Supporting Statement A	Uploaded 2015-09-04	Available
1205-0455-RExO-Adult SS_Attach A_Handbook 8-11-2015.DOCX	Supplementary Document	Uploaded 2015-09-04	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
201421	Participant Data Collection, Participant Burden	Other-MIS record layout	Modified
187883	Particiant Data Collection by Grantees	Other-Management Information System (MIS) fields	Modified
13319	Prisoner Reentry Initiative (PRI) Quarterly Reporting System	Form	Modified	Quarterly Report Form
13319	Prisoner Reentry Initiative (PRI) Quarterly Reporting System	Other-privacy act notification	Modified

ICR Details

OMB Control No: 1205-0455	ICR Reference No: 201506-1205-005
Status: Historical Active	Previous ICR Reference No: 201110-1205-007
Agency/Subagency: DOL/ETA	Agency Tracking No: EBSS
Title: Reintegration of Ex-Offenders, Adult Reporting System
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 09/30/2015
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/30/2015
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2018	36 Months From Approved	09/30/2015
Responses	11,410	0	11,704
Time Burden (Hours)	15,245	0	15,124
Cost Burden (Dollars)	0	0	0

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Abstract: Grantees provide selected standardized information pertaining to customers in Reintegration of Ex-Offenders-Adult (RExO) Adult programs--formerly the Prisoner Re-entry Initiative (PRI) programs--for the purposes of general program oversight, evaluation and performance assessment. ETA provides all grantees with a management information system to use for collecting participant data and for preparing and submitting the required quarterly reports.

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Authorizing Statute(s): PL: Pub.L. 105 - 220 171(b) Name of Law: Workforce Investment Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 17787	04/02/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 35679	06/22/2015
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
Particiant Data Collection by Grantees
Participant Data Collection, Participant Burden
Prisoner Reentry Initiative (PRI) Quarterly Reporting System	ETA 9140	Quarterly Report Form

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	11,410	11,704	0	0	-294	0
Annual Time Burden (Hours)	15,245	15,124	0	0	121	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The change in burden hours is due to an increase in grantees completing quarterly reports. The decrease in responses is due to a decline in the number of participants.

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Annual Cost to Federal Government: $285,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 06/30/2015

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